Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

eating, in a discrete period of time (for example, within any 2-hour period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances

a sense of lack of control over eating during the episode (for example, a feeling that one cannot stop eating or control what or how much one is eating)

The binge-eating episodes are associated with three (or more) of the following:

eating much more rapidly than normal

eating until feeling uncomfortably full

eating large amounts of food when not feeling physically hungry

eating alone because of feeling embarrassed by how much one is eating

feeling disgusted with oneself, depressed, or very guilty afterwards

Marked distress regarding binge eating is present.

The binge eating occurs, on average, at least once a week for three months.

The binge eating is not associated with the recurrent use of inappropriate compensatory behavior (for example, purging) and does not occur exclusively during the course Anorexia Nervosa, Bulimia Nervosa, or Avoidant/Restrictive Food Intake Disorder.